Behavioral
Mainline Health Systems INC
Mainline Health Systems INC was paid $1.01M by Medicaid between Apr 2022 and Dec 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoMAINLINE HEALTH SYSTEMS INC
SHERIDAN, AR 72150
SHERIDAN, AR 72150
33aNPI1104574219assigned 03/17/2022
33bProvider typeCognitive & Behavioral Psychologist
28Total paid$1.01M
24GClaims11,685
24DCodes billed26
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers
Next to other Cognitive & Behavioral Psychologist providers in Arkansas
Rank by total paid#5 of 13
Median peer was paid$847K
This provider vs. median1.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official NICHOLS, GARY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 4,593 | $223K | |
| 2023 | 5,220 | $484K | |
| 2024incomplete | 1,872 | $302K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 98% | 7,731 | 5,845 | $992K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 374 | 332 | $8K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 172 | 122 | $3K |
| 87428 | <1% | 65 | 59 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 165 | 131 | $2K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 61 | 61 | $863.52 |
| 90756 | <1% | 72 | 37 | $556.00 | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 282 | 199 | $410.83 |
| 90686 | <1% | 20 | 14 | $214.76 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 309 | 146 | $149.38 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 368 | 286 | $131.55 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 60 | 30 | $95.54 |
14 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 367 | $33.68 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 92 | $19.79 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 535 | $12.27 |
| 36415 | Collection of venous blood by venipuncture | <1% | 414 | $10.80 |
| 81003 | <1% | 34 | $9.16 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 96 | $7.83 |
| 3075F | <1% | 31 | $0.01 | |
| 3078F | <1% | 202 | $0.01 | |
| 3074F | 0% | 116 | $0.00 | |
| 3008F | 0% | 21 | $0.00 | |
| 96127 | 0% | 34 | $0.00 | |
| 3079F | 0% | 17 | $0.00 | |
| 3044F | 0% | 17 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 30 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialNICHOLS, GARY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Mainline Health Systems INC | Monticello, AR | $4.81M |
| Mainline Health Systems, INC | Star City, AR | $3.82M |
| Mainline Health Systems INC | Warren, AR | $2.21M |
| Mainline Health Systems INC | Dermott, AR | $1.56M |
| Mainline Health Systems, INC | Lake Village, AR | $1.16M |
| Mainline Health Systems, INC. | Rison, AR | $1.04M |
| Mainline Health Systems, INC | Eudora, AR | $887K |
| Mainline Health Systems, INC | Monticello, AR | $823K |
| Mainline Health Systems INC | Portland, AR | $598K |
| Mainline Health Systems, INC | Star City, AR | $589K |
| Mainline Health Systems, INC | Star City, AR | $494K |
| Mainline Health Systems INC | Wilmot, AR | $404K |
| Mainline Health Systems, INC | Dermott, AR | $288K |
| Mainline Health Systems, INC. | Hamburg, AR | $211K |
| Mainline Health Systems, INC | Dermott, AR | $180K |
| Mainline Health Systems, INC | Warren, AR | $159K |
| Mainline Health Systems INC | Sheridan, AR | $128K |
| Mainline Health Systems, INC | Hamburg, AR | $50K |
| Mainline Health Systems, INC | Warren, AR | $44K |
| Mainline Health Systems, INC. | Star City, AR | $38K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.